Individual
SAMANTHA JO DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
372 RACETRACK RD, MCDONOUGH, GA 30252-1022
(678) 272-7333
Mailing address
1141 PICKETS RIDGE DR, LOCUST GROVE, GA 30248-2847
(770) 881-4399
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTO008347
GA
Other
Enumeration date
02/17/2022
Last updated
02/17/2022
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